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Mr. Jason Niles Kukas, PMHNP-BC
Psychiatric/Mental Health Nurse Practitioner in Upland, California
NPI 1437876760

Jason Niles Kukas is a Psychiatric/Mental Health Nurse Practitioner based in Bermuda Dunes, CA and is specialized in Psychiatric/Mental Health. Jason Niles Kukas practices in Upland, CA and has the professional credentials of PMHNP-BC. The NPI Number for Jason Niles Kukas is 1437876760 and holds a License No. 95023040 (California).

The current practice location address for Jason Niles Kukas is 954 W Foothill Blvd Ste A, Upland, CA and can be reached out via phone at 909-846-4222.

Location: 954 W Foothill Blvd Ste A, Upland, CA, 92203-9516
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1437876760
Provider Name
Jason Niles Kukas
Credential
PMHNP-BC
Provider Entity Type
Individual
Gender
Male
Address
954 W Foothill Blvd Ste A, Upland, CA, 92203-9516
Phone Number
909-846-4222
Fax Number
Provider Enumeration Date
10/26/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
954 W Foothill Blvd Ste A
City
Upland
State
California
Zip
91786-3782
Phone Number
909-846-4222
Fax Number
person
Provider Business Mailing Address Details
Address
954 W Foothill Blvd Ste A
City
Upland
State
California
Zip
91786-3782
Phone Number
909-846-4222
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
363LP0808X
License No.
95023040 (California)
Definition
Definition to come...
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